Lived experience of mental distress and sense-making in black ethnic groups according to cultural heritage

Objective: Previous research has highlighted men and women from black ethnic groups are more likely to be diagnosed with poor mental health and may have difficulty recognising experiences as such, due to perceptions of stigma and culturally defined attributions of distress. The aim of this research was to explore how black ethnic groups experience mental distress and find meaning in their experiences according to cultural heritage. Method: Semi-structured interviews with four participants and an Interpretative Phenomenological Analysis were conducted. Results: Findings describe an awareness of cultural stigma relating to mental health, emotional distance impacting disclosure within the family, mental health as a misunderstood concept and feelings of empowerment through acceptance and supported disclosure. Whilst cultural heritage was important for developing awareness and understanding of stigma, attributed meanings of mental distress were individualistic. Discussion: Awareness of how stigmatic cultural conceptualisations are generationally represented and systemically maintained is vital to understanding how people from black ethnic groups experience mental distress. Clinical implications are discussed to explore how the socio-cultural and mental health needs of this population can be met